Pharmacy Technology Interview Form

Please answer the following questions and return this interview form with your program application.

Name	___________________________________________________________________________
Social Security Number	___________________________________________________________________________
1. Why are you interested in this health care field?	___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
2. What do you expect to learn in this program?	___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
3. What are the important ways that you have changed in the last five years?	___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
4. What do you see yourself doing in the next ten years?	___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
5. Describe two things that you have done in your lifetime of which you are most proud.	___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
6. What is there in your overall background that you believe will enable you to succeed in this program?	___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
7. Have you been employed in the pharmacy health field? If yes, how long and explain experiences you have had in the field.	___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
8. Why do you feel you are a strong candidate for a position in this program at Lamar State College-Orange?	___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
9. Is there anything else you would like to tell the Admission/Standards Committee?	___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________